RECEIPT OF HOUSE RENT
(Under Section 10 (13-A) of Income Tax Act)
Received a sum of Rs. _________________ (Rupees___________________
______________________________________________________________
from ___________________________________________________towards
the rent @ ____________________ per month from____________________
________to________________________ in respect of House No._________
situated at _____________________________________________________
______________________________________________________________
Affix One
Rupee
Revenue
Stamp
Date: Signature of the House
Owner/Landlord
Name of the House Owner:
___________________________
________________________________
Address: _________________________
________________________________
________________________________
________________________________
PAN NO._________________________